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Environmental Information Form <br /> Part B <br /> DATE: <br /> (To be Completed By Applicant ) <br /> NOTE: In completing this form, use additional sheets if necessary . <br /> Answer all questions to the best of your ability. If a question <br /> is not applicable to your project, write NA (not applicable ) . <br /> Please do not leave blanks . Incomplete forms cannot be accepted . <br /> PERSON COMPLETING FORM Y� PROPERTY OWNER AGENT OF OWNER <br /> Name .J o`er ) - 2 o`J <br /> Address 4Pr>6sc1,4 D,Z. <br /> City <br /> State/Zip <br /> Phone � � 7.1,S-4L-`f5 <br /> A. PROJECT DESCRIPTION <br /> 1 . Type of application: Q Use Permit, Q Major Subdivision, <br /> Zone Reclassification, Q Minor Subdivision, E] Site Approval , <br /> [� Zone variance, Q Other : <br /> 2 . Project location: 4890 EAST ACAMPO RD . , ACAMPO , CA . <br /> Describe y the project; i .e . , request being m��aFFd��e and nature of use . <br /> IBUILDINGsT0 BElUSEDoAScA STORAGEnFACIZTTpFUI� !r t <br /> R0TTTPM7NT AMM a n77Tri~ PPAnnT1ARTT:R4 FnR 1IRTn.4 FARM 4FRVT(-F,S , TN(' _ " <br /> 3 . Total acreage of project: 1 . 5 ± # of existing parcels : 20 <br /> Assessor Parcel # (s ) : n17-ngn_na <br /> 4 . If there is an existing EIR assessing any aspect of your project <br /> site , provide title and date: NO <br /> 5 . Other permits and approvals (County, Regional , State and Federal ) <br /> required for this project : <br /> PERMIT AGENCY <br /> N/A <br /> Site Approval Application - 5 - ( 6/86 ) <br />